Individual
PRISCILLA ANN VILLEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3615 WILLOWBEND BLVD, SUITE 428, HOUSTON, TX 77054
(713) 662-0680
(713) 357-6543
Mailing address
3615 WILLOWBEND BLVD STE 428, HOUSTON, TX 77054-1110
(713) 662-0680
(713) 357-6543
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
1001942
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346604527
BMP BRACING LLC
TX
Enumeration date
04/27/2018
Last updated
04/27/2018
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